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Nutrient absorption is another link between GLP-1 and fatigue

[Appetite regulation by ghrelin - a novel neuro-endocrine gastric peptide hormone in the gut-brain-axis]
Extrahepatic malignancies - particularly colorectal, breast, and pancreatic cancer - are more common in MASLD patients independent of metabolic syndrome components [3-5]

It is important to distinguish between theoretical concerns based on mechanism of action and actual clinical evidence of harm